Provider Demographics
NPI:1457140063
Name:MICHIGAN DEPENDABLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:MICHIGAN DEPENDABLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BESIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHABANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-803-8290
Mailing Address - Street 1:4205 BLACK CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-8320
Mailing Address - Country:US
Mailing Address - Phone:517-803-8920
Mailing Address - Fax:
Practice Address - Street 1:4205 BLACK CHERRY LN
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-8320
Practice Address - Country:US
Practice Address - Phone:517-803-8920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker